Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $1,236.00 / $3,500.00	Facility		$338.00	$1,236.00	$3,500.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $81.25 / $93.47 / $383.58	Facility	52	$81.25	$93.47	$383.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.90 / $203.12 / $767.15	Professional		$127.90	$203.12	$767.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $146.01 / $146.01	Professional		$146.01	$146.01	$146.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $795.70 / $1,636.18 / $2,500.11	Facility		$795.70	$1,636.18	$2,500.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $243.42 / $746.71	Professional		$154.44	$243.42	$746.71
Christus Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $103.98 / $609.16	Facility		$40.00	$103.98	$609.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.32 / $525.00 / $877.00	Facility		$197.32	$525.00	$877.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $157.86 / $157.86 / $157.86	Facility	52	$157.86	$157.86	$157.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.60 / $296.91 / $855.10	Professional		$125.60	$296.91	$855.10
United Facility/Professional Facility Modifier Low / Median / High Price $470.00 / $1,429.00 / $4,010.00	Facility		$470.00	$1,429.00	$4,010.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.95 / $515.30 / $1,005.25	Professional		$200.95	$515.30	$1,005.25